We know we must be vigilant! The constant search for clues for the covertly sick patient (ex, Leukemia in Neonates, Heart Failure, Pneumonia) has refined our vision and honed our intuition. That vigilance, however, can discover clues that we may…
Congratulations! You have made it successfully to 2021! While 2020 was challenging for EVERYONE, and may have required some brute force to endure, let us take this opportunity to consider avoiding using brute force (“Brutane“) when intubating our smallest of…
We all know that caring for children can be tricky. Being a parent is certainly tricky… but trying to decipher the subtle clues a child presents with to ensure that nothing ominous is lurking underneath the non-specific complaints is unquestionably…
We have previously discussed the fact that children are not aliens (the newly born and neonates are almost aliens though), but that we must recognize children as a special population with unique anatomy and physiology. Sometimes those considerations also have…
Neonates do weird things. Some of these things are normal… and some are not. While it is true, that you should “never trust a neonate” (See ALTE / BRUE), there are sometimes when the odd is not cause for tremendous…
Let’s be honest, the lymphatic system gets no respect. While the blood vessels and nerves are carefully considered and protected, the lymphatic vessels are not even at the forefront of our contemplations. That is until they cause problems! We have…
Have you ever seen a condition or complaint so many times that you feel that there is no way it can surprise you? Yeah… me neither. I am positive every condition can humble us at one point or another. That…
It is fun to be able to check the “Learned Something New Today” box! Having just attended ACEP 2019 in snowy Denver, I can definitely check that box! One interesting item I learned was taught to be by our esteemed…
We are often drawn to new techniques and methods. While we may become enamored with exotic management strategies (ex, ECMO in the ED, Delayed Sequence Intubation), focusing on the basics is vitally important to the successful management of even the…
The diversity of complaints and presentations in the ED keeps us on our toes and requires our continued vigilance. It is not uncommon for me to say, “I did not know that that could happen” during a shift. While we…
